Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HUNTER M PENROD, COTA/L
Active Sole ProprietorHUNTER M PENROD, COTA/L is a Skilled Nursing Facility healthcare provider located in SPRING VALLEY, California. NPI 1801589825 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · SPRING VALLEY, CA
Registration Details
- NPI Number
- 1801589825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2023 (3.2291050489718 yrs)
- Last Updated
- May 26, 2023
- License
-
6452 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3410 S CORDOBA AVESPRING VALLEY, CA, 919773024Browse CA providers · Browse ZIP 91977
- Phone
- 5304405711
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.